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Michigan rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Facilitymedian $1,318 · 10th–90th $617$4,6770%20%10th90th$1,318Professionalmedian $603 · 10th–90th $479$1,1750%20%10th90th$603$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,467.37
Typical High
$6,760.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,230.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$933.25
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,187.76
Typical High
$2,454.71
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$1,412.54
Priority Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$954.99
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$776.25